Bilateral Pleural Effusions in Congestive Heart Failure

The salt-avid state that accounts for the clinical syndrome congestive heart failure (CHF) leads to an initial expansion of intra- and subsequent rise in extravascular volumes that can include the appearance of pleural effusion. Herein, we present a 54-year-old man with a dilated cardiomyopathy who...

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Veröffentlicht in:The American journal of the medical sciences 2008-06, Vol.335 (6), p.484-488
Hauptverfasser: Ahmad, Khurram, Gandhi, Malay S., Weber, Karl T., Chapman Smith, W.
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container_issue 6
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container_title The American journal of the medical sciences
container_volume 335
creator Ahmad, Khurram
Gandhi, Malay S.
Weber, Karl T.
Chapman Smith, W.
description The salt-avid state that accounts for the clinical syndrome congestive heart failure (CHF) leads to an initial expansion of intra- and subsequent rise in extravascular volumes that can include the appearance of pleural effusion. Herein, we present a 54-year-old man with a dilated cardiomyopathy who was hospitalized because of his CHF, which included bilateral pleural effusions, right hydrothorax greater than left. The pathophysiology of pleural fluid formation in CHF, previously debated, has now reached consensus, albeit not frequently reviewed. This index case offers such an opportunity.
doi_str_mv 10.1097/MAJ.0b013e318160ede9
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subjects Biological and medical sciences
Cardiomyopathy, Dilated - complications
Cardiomyopathy, Dilated - diagnostic imaging
Congestive heart failure
Diuretics - therapeutic use
Furosemide - therapeutic use
General aspects
Heart Failure - complications
Heart Failure - diagnostic imaging
Humans
Hydrothorax - diagnostic imaging
Hydrothorax - drug therapy
Hydrothorax - etiology
Lymphatic drainage
Male
Medical sciences
Middle Aged
Pleural effusion
Pleural Effusion - diagnostic imaging
Pleural Effusion - drug therapy
Pleural Effusion - etiology
Pleural fluids kinetics
Pneumology
Radiography
Respiratory system : syndromes and miscellaneous diseases
Treatment Outcome
title Bilateral Pleural Effusions in Congestive Heart Failure
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